The URL can be used to link to this page

Home My WebLink About16753-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17438 Date OCTOBER 20, 1988 THIS CERTIFIES that the building ADDITION Location of Property 1695 SMITH DRIVE PECONIC House No. Street Hamlet County Tax Map NO. 1000 Section 98 Block 4 Lot 21 Subdivision INDIAN NECK PARK Filed Map No. 551 Lot No. 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1988 pursuant to which Building Permit No. 16753Z dated FEBRUARY 24, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION AS APPLIED FOR. The certificate is issued to KENNETH SMITH (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81 FOR~ NO. ~ TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_1675~ Z Permission s~, ,~.~,,_hereby granted to: ~~... ....... , .~: . ~,..¥',.. . , ,. ~.~.~ ......... ~.,~.~ ........... ~......~ ..... at premises located at ,L.~..~.~........~....~/..-/~/-/~ ..................................................... Count'/ Tox Map No. 1000 Section ....... ..~..~.Z ..... Block ....... .,.~....~....... Lot No ....... ,,~,...~../.. ...... pursuant tO opplicotion dated .......... :~/~.. .................................. 19..~:.,'~and opproved by the Building Inspector. Rev. 6/30/80 TOWN OF SO'(JTHOLD OFFICE OF BUILDING INSPEC'TOR P.O. BOX 728 TOWN HALL SOUTttOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner ~[~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead, Sworn to before me this I~ day of ~_o_~ ~__ , 19~ . Notary Public, ~.~!k County FORM NO. 6_ TOWN OF SOUTHOLD Building Department ~ Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE O Instructions A.This application must be filled in typewriter OR ink, and submitted aa ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusua~ natural or topographic features. 2.Final approvaJ of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commerc[akbui[dings, {ndustrial buildings, Muitip{e Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B.For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of p~coperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3.Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Cop¥ of certificate of occupancv $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date . .J.~l~..~..1.9.~.8. .......... NewConstruc%ion Old or Pre-existing Building Vacant Land Location of Property ~,(~9 .~. 2~mi th..D:~i~. .......................... ]P.e.q 0P-~.q ............ House No. Street Ham/et Ke m~eth ,Smith Owner or Owners of Property County Tax Map No. 1000 Section ........ i ...... Block ............... Lot.. 02]. S6bd[vision ....................... i.File ap No , ,-,-,.. - .... --~.--7 Permit No. .. Date of Permit .......... Applicant .............. , ................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approwl ....................., Request for Temporary Certificate ................ Final Certificate ....... ~. ............... Fee Submitted $ '2~ O0 ¢'~'/.~?'J~ Construction on above described building~,~t~ a~~~es and regulations % .................. Rev. 10.10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE Instructions This application must be filled in typewriter OR ink, and submitted ~a ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusua! natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C,.O. $ 50.00 Date ...J. qQ~.~,lg.8.~ ......... New C OhS truc t ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...1..09~. ................... ~r~;[.t.h .~)~',~V.q .............. ~P.qQ ~i.O. .... House No. Street Hamlet Owner or Owners of Property ..... .K.e..Qr~.e .l;.b, . $~.~.~ ....................................... County Tax Map No. 1000 Section ........... 096. Block ..... DJ~ ....... Lot .... ~ .021 ...... Subdivision.. ~.r)c]. ~.~.r~ .N~pk .]~ark ........... Filed Map No .... ..~.-~.~...Lot No .... ~ ......... Permit No. ~.~3Z... Date of Permit .2./.2~/.8..~.Applicant~..ny.i.P.q .n.mp.n.~ ~ .as ~, ~ qq..Cp~..Qw, ue z' Health Dept. Approval . ...~/.~. ................. Labor Dept. Approval ....... N~./~ .............. Underwriters Approval . . . ~.~. ................. Planning Board Approval ..... N~.~ .............. Request for Temporary Certificate, .................... Final Certificate .. X Fee Submitted $ .... ~.. 00..7.~. [ .~.~.. ~.. .... Con s~ruction on above described building/~ it m~a nd regulations. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME .PLUMBINGS''' INSULATION FERN. Y. STATE ENERGY CODE FINAL %DDITION~L COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /_ ~ application5 for Certificate of Occupancy is not on file. _~/--~_~/~ No Underwriters Certificate on file. /? The check is(outdated/~not on file.)~% /~/ No Health Dept. Approval on file. /--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ~uilding Permit Building Dept. ***/~/~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Environment East, Inc. R. R~ No. 3 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 M~rch 14, 1988 Southold Town Building Dept. P. 0. Box 1179 Southol~ hr~ 11971 Re: Yermit # 16753Z Dear Sirs, Enclosed are three sets of plans for a proposed ~eck to be constructed at the Smith residence on Smith Drive, Peconic. At the owners request we are aski~E that this work be i~cluded on Permit # 167~3Z for i~terior alterations now bet~ done. Our check in amc ndin led to cover the fees involved permit. Sincerel Peter R. Env East, Inc. PHS Environment East, Inc. R. R, No. 3 - 3075 Indian Neck Lime Peconic, New York 11958 516-734-7474 March 22, 1988 gouthold Town Building Dept. Southold Town Hall P. O. Box 1179 Southold, ~r~ llg?l Re: Permit 16753Z. K. Smith, Smith Road, Peconic Dear Sirs, This is to inform you that we hawe no knowledge of heat being installed at this time at the above prem- ises. Heating pi~es are being run in the walls af- fecte~ by the i~terior re~oYatio~ eo~ered u~er Per- mit ~ 16753Z at the owners request so that heat may be added at a later date without disturbing this new If any you hav~ questions or ~eed additional i~- Petep R. Bi--burgh ~re side 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION :~ND [ ] INSULATION ]FRAMING [ '"J/FINAL 765-1802 BUILDING DEPT. [ ] FOUNDATION INSPECTION [ ~RROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. [ ] F/~UNDATION 2ND [ ] INSULATION / FRAMING [ ] FINAL 0£ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [/~ROUGH PLBG. FOUNDATION 2ND [/~NsuLATION DATE ~ exami~ ~ ~ndf~nd to ~ iff ~m~ian~ with the ~quire~flts of th~ ~. ~ ~Xl~ P~ 8 LO ~ ~ OlNII AIqJAdMflJ~ GoF.C.I:-2 420 ~lON~l~l,:h I,N. C[FFC]~O~U~. NY~ 11.935 ,)(.~,NS)i; NO. 2~)4]. P; return to I of the Board if i ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ~xammed ......... , ~pproved ~//'. '..~. · ........ ~ ' 9ff~. Permit No. /~. :~ 3/ )isapproved a/c ..................................... (B'uildigg inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19,.. /' INSTRUCTIONS ' a. This application must be Completely filled in by typewriter or in ink and sutsmitted't~ ~he Building Inspector, with 3 ~ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises or public streets ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of ttfis application, the Building Inspector will issued a Building Permit to the applicant. Such permit ltall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the milding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or (egulations, for the construction of buildings, additions or alterations, or for removal or deinolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. ..... g v! g T. ........ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) Ix2'-/ I I ct 6 ~ ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. game of owner of premises ........ ~I.T~. ). . x . .%~. · · ~.~ ......................... (as on the tax roll or latest deed) (Name and title of co.orate officer) Builder's License No .... 5~ ~..~ .~ ....... Plumber's License No ......................... Electrician's License No ....................... · Intended use and oc.cupancy O..I9 .... FA~.~ .~.¢}. g.~-L,I..~.¢...~9.}~]..}i~).'l-.g.~l.O ~-,. Other Trade's License No ...................... I. Location of land on which proposed work will be done ................................................. House Nmnber Street Hamlet County Tax Map No. 1.000 Section ..... .~<~ .......... Block ..... .~ ....... ' .... Lot ..... ~. ! ........... Subdivision... }~.D.I~.M....]xJg.C..gx.. RPS~x~ ........ Fded Map No...,,.~.~.l ....... Lot .... ~ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy~x~.N}~-~A.k~tlt'~,, ~.~ ~ .'v~.t.l~t, 5F: I I Ik.~(',~ ~., W ~..,..~r_..,: X .~.:.' 3 Nature of work (check which applicable): New Building ' Addition Alteration v~.. Repair .............. Removal .............. Demolition .............. Other Work ............... , (Description) ~.~ C20.. O.j ~ Fee 4. Estimated Cost ................................................................. (to be paid on filing this application) $ If dwelling ' ' ' ~1 iq ~. ~.,~ Number of dwelling units on each floor · , number of dwelling units ...................... If garage number of cars ' 6. If.business,. commercial, or mix~d, occupancy,, specify .nature, ~4'"'i~'d extent of each type, of ~use ........... ~ 'z~ ~; ..... 7. Dunenslons of existing str, ctures, if any Front .... ,3. ~o ........ Rear .... ~..(o...~ .... Depth . ,.~ .~. .......... Height ............... Number of Stories...9, ................................................... Dimensions of same structure with alterations or additions; Front ................. Rear .................. Depth ............ .... Heigh. t ............ Number of Stories. .......¢.. .... ,' ......................... ...... . Rear , .~.(a...~, ...... Depth . .~ .Ii'." 8. Dimensions of entire new cons ruction .H ..... ' " Height ................. Number of Stories ..... ,'EV40. ............... . ........, ............................ Size of lot: Front i ' ' Rear Depth Date of Purchase i Name of Forme, r Ow.,ner which premises are situated K[~ I,D.'~tQ~]~ ~'14-. Zone or use district in ...... ' ,, ............................. Does proposed construction violate any zoning law, ordinance or regulation: ............ ~.Q.. ................ Will lot be regraded .......... /qO. ............... Will excess fill be removed from premises: Yes Name of Owndr of premises ~,~b"M t.l,~t~,~ O1 t .~. fi'.$Address ~ ~-.P., ,~.e.~...~.., .~.~.d,6?/. Phone No ~,cl. ~J; ,q~ ~.?. Name of Architect ......... ! .................. Address .................... Phone NO ................ Name of ¢ontracto~-~/IB00~.~r~'gJ~'~ _t~/.~... Address~0 ?.~ .~bla~ ~Kq~./~Phone No.~c~ .q:.~ ¥.7. y~ ..... PLOT DIAGRAM Locate clearly a,~d distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from : number or description according to deed, and show street names and indicate whether 10, l{. 12'. 13. 14. property lines. Give street and blocl interior or corner lot. ;TATE OF NEW YORK, '.OUNTY OF ................. S.S ..... being duly sworn, deposes and says that he is the applicant (Name ...... of individual s~gnmg contract) bove named. , le is the ' ~ (Contractor agent aorporatO officer, etc.) ,f said owner or owners, and is ,duly authorized to perform or have performed the said work'and to make and ffl~this- pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in ,the mann)~: set forth in the application filed therewith. ,worn to before me this ~ .............. /P ....... day o~,., ,~', · ,~fC<., ............, 19 ,~, .~' ,rotary Public,. ...... ~ i · NOTARYTermNo, Expires 470;'878,PUSL{C'HEtENK'OEVOE 'March Suffo State30,of k Count~.~.lg~.New York 765-X802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I-/.~ROUGH PLBG. FOUNDATION 2ND [Z~NSULAT!ON~ FRAMING FINAL REMARKS: OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY- - ....... ~ ~ePRO)/E0 AS No'rE0 'FEE:~ : --/ ~/'j 7 76§-1802 9 AM TO 4 PM FOR THF FOLLOWING INSPECTIONS: ~. FOUNDATION ' ~O REQUIRED ~ FOR POURED coNCRETE =. ROUGH - F.A~N~ ~ .LU~N~ 4. FINAL - BE COMPLETE FOR C. O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE K~ DESIGN OA CONSTRUCTION FRn~RS' :! PLAN FRONT- DE (V-x DRAWING NUMBER 'I // i I 3 ,,/ r l_ ¸2: 12 4' SOLDER/,/$EO IA~ WA?*ER $1./PPL y SYgI'EM CA/VA/OZ' OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE "- OCCUPANCY If cOpPer tubing for w~ter dlltrlbutln& lyiter~ piping Ihill I~E~ BY,' ~o~~ "'6B-1802 9 Al~l TO · PM FOR ~LO~NG INS~ONS: ~UNDA~ON ~O ~EQ~RED ~R ~EO CONCRETE ~UG~'~ ;~ING-~"~U~I~ "" IN~U~ flOt~ . ',~ FINAL CONSTR~T~ Mt~ ~ ~MPLETE ~R C O T~ REQUIREMENTS ~ ~ N